Inspection Reports for Mountain View Care Center

An unannounced revisit was conducted at Mountain View Care Center from April 7 to April 9, 2025 for the annual survey concluding on February 26, 2025. The revisit aimed to verify correction of previously cited deficient practices.

The facility was found to have corrected 21 of 22 previously cited deficiencies. However, the facility failed to store and label food items in accordance with professional food safety standards, with multiple food items found opened, unlabeled, undated, or improperly stored, posing potential risk to residents.

An unannounced revisit was conducted at Mountain View Care Center on April 10, 2025, for the annual recertification, complaint, and FRI survey concluding on February 26, 2025. An additional Desk Audit was conducted on April 30, 2025, for a previously cited deficiency.

The facility was found to have corrected the previously cited deficient practices as of April 30, 2024, which are reflected on the CMS-2567B. The revisit survey included review of annual recertification, complaint, and FRI survey findings.

Unannounced annual recertification, relicensure, complaint and facility reported incident (FRI) survey conducted at Mountain View Care Center.

The facility had multiple deficiencies including failure to provide proper nutrition and adaptive equipment, inaccurate resident assessments, insufficient staffing, infection control issues, improper medication storage, and failure to maintain a safe and clean environment.

Routine inspection of Mountain View Care Center to assess compliance with NFPA fire safety codes, electrical safety, emergency preparedness, and other regulatory requirements.

The facility was found deficient in multiple areas including malfunctioning egress door mag-locks, sprinkler system maintenance issues, unsealed smoke barrier penetrations, missing electrical covers, lack of recent receptacle testing, improper oxygen cylinder storage, incomplete emergency preparedness plan, and fire door maintenance. The facility acknowledged these findings and provided corrective action plans with completion dates mostly by March 2025.

An unannounced complaint investigation survey was conducted at Mountain View Care Center on 02/19/24.

The facility was found to be in substantial compliance with applicable regulations. Complaint #29703 was unsubstantiated with no related or unrelated deficiencies cited.

Complaint #29703 was unsubstantiated with no related or unrelated deficiencies cited.

An unannounced focused infection control and complaint survey was conducted at Mountain View Care Center on 08/28/23.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and/or 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule. Complaint #26985 was unsubstantiated with no related or unrelated deficiencies.

Complaint #26985 was unsubstantiated with no related or unrelated deficiencies.

An unannounced revisit was conducted at Mountain View Care Center on August 22, 2023 for the annual survey concluding on June 30, 2023.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

The visit was a Revisit Life Safety survey conducted to verify correction of previously cited deficiencies.

All previously cited deficiencies were corrected during the revisit inspection. No new concerns were noted.

Unannounced annual recertification survey conducted to assess compliance with federal regulations for nursing home care.

The facility was found deficient in multiple areas including resident safety regarding smoking policies, care plan revisions, advance directive documentation, insulin administration, quality assurance committee attendance, environment maintenance, nurse staffing posting accessibility, food safety and temperature, resident call system functionality, infection control practices, and timely notification of resident representatives regarding changes in condition.

The inspection was a Life Safety survey conducted to assess compliance with fire safety and emergency preparedness regulations.

The facility had multiple deficiencies related to fire safety including inadequate illumination of means of egress, incomplete fire alarm system testing records, sprinkler system installation and maintenance issues, improperly installed fire extinguishers, corridor door deficiencies, smoke barrier door malfunctions, incomplete fire drill schedules, electrical receptacle issues, lack of emergency preparedness plan based on community risk assessment, and failure to conduct required emergency preparedness exercises.

The inspection was conducted based on a review of facility documentation and staff interview to assess compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

The document reports on the annual recertification survey of Mountain View Care Center, reviewing plans of correction and compliance with regulatory requirements.

Mountain View Care Center is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules. The facility was accepted as compliant based on review of plans of correction and credible evidence without an onsite revisit.

An unannounced annual recertification, annual relicensure, and complaint investigation survey was conducted at Mountain View Care Center from February 22-24, 2022.

The survey identified multiple deficiencies including failure to ensure residents' bathing preferences were met, incomplete Physician Orders for Scope of Treatment (POST) forms, unsafe and unsanitary food storage and kitchen conditions, failure to report serious bodily injury falls to state agencies, failure to notify the Ombudsman of resident discharges, failure to provide bed hold notices, inadequate ADL care, lack of resident-centered activities, delayed medical intervention, failure to follow wound dressing and fall documentation protocols, failure to change oxygen tubing timely, incomplete narcotic reconciliation, infection control lapses during medication administration, and unsafe kitchen equipment conditions.

Complaint #26063, #26060, and #26027 were unsubstantiated with no related or unrelated deficiencies cited.

The inspection was a routine survey to assess compliance with NFPA 101 fire safety codes and other regulatory requirements related to facility safety and maintenance.

The facility was found deficient in multiple areas including missing delayed-egress signage on exit doors, missing portable fire extinguishers, improperly maintained corridor and smoke barrier doors, exposed electrical wiring, lack of a remote manual stop switch on the emergency generator, and incomplete testing documentation for rental oxygen concentrators and IV pumps. Maintenance and corrective actions were planned and scheduled.

The visit was conducted as a complaint investigation survey related to complaint reference #24289, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Eldercare Health and Rehabilitation, was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices corrected.

Complaint reference #24289; the facility was in substantial compliance with previously cited deficient practices based on review of plans of correction and credible evidence.

An unannounced complaint investigation was conducted from 10/26/20 to 10/27/20 at Eldercare Health and Rehabilitation for Complaint Reference #24289.

The allegations were unsubstantiated but an unrelated deficiency was identified regarding failure to develop and implement a person-centered care plan with specific interventions for one resident.

Complaint Reference #24289 was unsubstantiated but a deficiency was cited at F 656 related to care planning.

An unannounced revisit was conducted at Eldercare Health and Rehabilitation on July 22, 2020 for the focused infection control survey concluding on April 29, 2020.

The facility was found to have corrected the previously cited deficient practices related to infection control, as reflected on the CMS-2567B.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency on July 22, 2020.

The facility was found in compliance with 42 CFR 483.80 infection control regulations, 42 CFR 483.73 related to emergency preparedness, and CMS and CDC recommended practices to prepare for COVID-19.

An unannounced Infection Control Survey was conducted from 04/23/20 to 04/29/20 at Eldercare Health and Rehabilitation to investigate infection prevention and control practices related to COVID-19.

The facility failed to implement proper infection prevention and control practices to prevent the development and transmission of COVID-19, particularly for Resident #1 who had fever and cough symptoms on 03/29/20 but was not placed on isolation precautions until 04/02/20. Employee #7 did not change all PPE when moving between COVID-positive and non-COVID resident areas. As of 04/27/20, 67 residents and 32 staff tested positive for COVID-19, with 11 resident deaths.

The investigation was complaint-related focusing on infection control failures leading to COVID-19 spread. Resident #1 had fever and cough on 03/29/20 but was not isolated until 04/02/20. Employee #7 failed to change all PPE when moving from COVID-positive to non-COVID areas. The facility had multiple residents and staff test positive, with resident deaths reported.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The facility, Eldercare Health and Rehabilitation, was found to be in substantial compliance with the applicable federal and state regulations based on review of plans of correction and credible evidence without an onsite revisit.

An unannounced annual re-certification and annual re-licensure survey was conducted at Eldercare Health and Rehabilitation Center from 08/19/19 through 08/21/19 to assess compliance with federal and state regulations.

The survey identified multiple deficiencies including failure to complete timely significant change assessments, inaccurate Minimum Data Set (MDS) coding, incomplete and inaccurate care plans, failure to follow physician orders, improper infection control practices, and inadequate facility assessment. Specific issues involved hospice assessments, refusal of care documentation, fluid restrictions, oxygen use, pressure ulcer care, foot care, psychotropic medication management, dental services, food safety, and resident preferences.

The inspection was conducted to evaluate the facility's compliance with NFPA 101 fire safety standards, emergency preparedness requirements, and resident rights notifications.

The facility was found deficient in multiple areas including improper door locking arrangements not compliant with NFPA 101, failure to conduct required emergency lighting testing, and failure to develop and maintain an updated emergency preparedness plan. These deficiencies could potentially affect all residents, staff, and visitors.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The facility, Eldercare Health and Rehabilitation, was found to be in substantial compliance with the applicable federal and state regulations based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

An unannounced annual Recertification Survey was conducted to assess compliance with Medicare regulations for long term care facilities.

The facility was found not in substantial compliance with Medicare regulations, with deficiencies including failure to update care plans with therapy recommendations, failure to provide appropriate treatment to maintain range of motion for a resident's hands, and failure to ensure privacy curtains in two-bed rooms provided complete visual privacy.

The inspection was conducted to assess compliance with NFPA 101, Life Safety Code 2012, and applicable Federal, State, and local Emergency Preparedness requirements.

The facility was found to be in compliance with the provisions of NFPA 101, Life Safety Code 2012, and all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced complaint investigation was conducted at Eldercare Health and Rehabilitation from 05/29/2018 through 05/30/2018 for Complaint Reference #20437.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Mountain View Care Center.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b).

An unannounced revisit was conducted from 10/02/2017 through 10/04/2017 for the Quality Indicator and Licensure Surveys concluding on 07/19/2017 to verify correction of previous deficiencies.

The facility was found to remain out of compliance with deficiency F514 related to incomplete and inaccurate medical records for dialysis residents. Specifically, documentation of pre- and post-dialysis information was missing on seven of sixteen dialysis days for Resident #151. The facility acknowledged the deficiency and implemented reeducation and monitoring plans.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance of Mountain View Care Center, addressing identified deficiencies from a prior inspection.

Deficiencies were identified related to resident rights notification and compliance with NFPA 101 standards for sprinkler system installation and electrical equipment testing and maintenance. The facility must ensure residents are informed of their rights and maintain proper electrical equipment testing and sprinkler system installation as per regulatory standards.

Unannounced annual Quality Indicator Survey, State Licensure Survey, and three Complaint surveys were conducted from July 10, 2017 to July 19, 2017.

The facility was cited for multiple deficiencies including failure to notify residents of Medicare service termination, conveyance of personal funds upon death, grievance follow-up, dignified dining, comprehensive assessments, care plan development and revision, medication administration errors, infection control breaches, and failure to promptly notify physicians of lab results.

Complaint #17685 was unsubstantiated without deficiencies. Complaint #17641 was substantiated with deficiencies at F309 and F323. Complaint #18188 was substantiated with deficiencies at F323.

The inspection was conducted to assess compliance with fire safety sprinkler system installation and electrical equipment testing and maintenance requirements in the facility.

The facility failed to provide complete sprinkler system coverage over the main entrance canopy and failed to provide evidence that electrical testing of all patient-care related electrical equipment had been performed by qualified personnel. Both deficiencies were acknowledged by the Administrator and Maintenance Supervisor.

An unannounced complaint investigation was conducted from August 1, 2016 to August 2, 2016 for Complaint Reference #16232.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

Complaint Reference #16232 was unsubstantiated with no deficient practices identified.

An unannounced revisit was conducted at Eldercare Health and Rehabilitation on August 1, 2016 for the complaint investigation concluding on June 10, 2016.

The facility was found to have corrected the previously cited deficient practices, as reflected on the CMS-2567B.

The visit was a follow-up to a complaint investigation concluded on June 10, 2016, verifying correction of deficiencies.

The document is a plan of correction related to a complaint investigation survey concluding on 2016-05-12, accepted in lieu of an onsite revisit for Quality Indicator, State Licensure, and Complaint Investigation surveys.

The facility, Elder Care Health and Rehabilitation, is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices addressed through plans of correction and credible evidence.

Complaint Reference: #15072. The plan of correction was accepted in lieu of an onsite revisit for the complaint investigation survey concluding on 05/12/16.

An unannounced complaint survey was conducted from June 8, 2016 through June 10, 2016, based on complaint #15892 which was substantiated with related deficiencies cited.

The facility failed to maintain a safe environment during a construction project involving removal and replacement of floor tiles in resident rooms and hallways. The facility did not use dust barriers or negative air pressure, did not test for asbestos prior to tile removal, and failed to adequately address these issues through the quality assessment and assurance committee.

Complaint #15892 was substantiated. The complaint investigation included observations, resident and staff interviews, and record reviews. The facility census at the start of the complaint investigation was 119 residents, with a complaint sample of 15 residents.

Unannounced annual Quality Indicator Survey and Complaint Investigations #15435 and #15892 were conducted from May 2, 2016 through May 12, 2016. Complaint #15435 was unsubstantiated with no related deficiencies. Complaint #15072 was substantiated with related deficiencies.

The facility was cited for multiple deficiencies including failure to notify responsible parties of significant resident changes, inadequate housekeeping and maintenance, inaccurate comprehensive assessments, improper use and documentation of restraints, incomplete care plans, failure to provide services per care plans, unsanitary food storage and preparation, and incomplete clinical records.

Complaint #15435 was unsubstantiated with no related deficiencies. Complaint #15072 was substantiated with related deficiencies.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically regarding corridor door integrity and medical gas storage signage.

The facility failed to protect corridor openings with doors capable of resisting the passage of smoke, as several patient room doors had a half inch gap at the top when fully closed. Additionally, the medical gas storage area lacked the required precautionary signage.

The inspection was conducted as a complaint investigation, reviewing plans of correction and credible evidence in lieu of an onsite revisit for the complaint investigation concluding on 02/05/16.

The facility, Eldercare Health and Rehabilitation, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and with previously cited deficient practices.

Complaint Reference: 15061. The facility was in substantial compliance with the previously cited deficient practices following the complaint investigation.

An unannounced complaint survey was conducted at Eldercare Health and Rehabilitation on February 5, 2016, related to complaint #15061 which was substantiated with related deficiencies cited.

The facility was found deficient in multiple areas including failure to accommodate residents' individual needs (over-bed light pull cords too short), inadequate housekeeping and maintenance services resulting in dirty and damaged resident rooms and common areas, and failure to ensure food preparation under sanitary conditions due to an unsealed ceiling around the kitchen range hood.

Complaint #15061 was substantiated based on observations, resident and staff interviews, and review of facility documentation.

An unannounced complaint survey was conducted at Eldercare Health and Rehabilitation Center from August 28, 2015 to August 31, 2015 in response to Complaint #14397.

The complaint was unsubstantiated with no deficiencies cited during the investigation. The complaint sample consisted of 10 residents.

Complaint #14397 was unsubstantiated with no deficiencies cited.

An unannounced complaint investigation was conducted from July 7, 2015 to July 9, 2015 at Eldercare Health and Rehabilitation for Complaint Reference 13838.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

Complaint Reference 13838 was unsubstantiated with no related or unrelated deficient practices identified.

The document is a plan of correction related to a Quality Indicator and Licensure Survey concluding on 04/10/2015, accepted in lieu of an onsite revisit.

The facility, Eldercare Health and Rehabilitation, is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices addressed through plans of correction and credible evidence.

Unannounced annual Quality Indicator and Licensure Surveys were conducted at Eldercare Health and Rehabilitation Center from April 6, 2015 through April 10, 2015.

The report identified multiple deficiencies including housekeeping and maintenance issues, inaccurate resident assessments, incomplete care plans, failure to provide necessary treatments for pressure ulcers, inadequate infection control practices, improper medication labeling, and incomplete medication administration documentation.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, specifically focusing on fire drills and generator maintenance.

The facility failed to conduct required fire drills for the second shift during the first quarter of 2015 and did not maintain proper documentation for generator battery maintenance, including weekly electrolyte level checks and monthly specific gravity tests.

The inspection was conducted as a complaint investigation, reviewing plans of correction and credible evidence in lieu of an onsite revisit for complaints concluding on 2014-10-08.

The facility, Eldercare Health and Rehabilitation, was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices corrected.

Complaint Reference: 11875. The complaint investigation concluded on 2014-10-08 with the facility in substantial compliance.

An unannounced complaint survey was conducted from October 6, 2014 through October 8, 2014, based on Complaint #11875 which was unsubstantiated with unrelated deficiencies cited.

The facility was found deficient in multiple areas including failure to comply with policies for medical record access, failure to address resident council staffing concerns, inaccurate daily nurse staffing postings, presence of expired medications intermixed with current stock, and non-compliance with state regulations regarding medical record copying fees and timelines.

Complaint #11875 was unsubstantiated with unrelated deficiencies cited. The complaint sample consisted of 8 residents.

The inspection was conducted as a complaint investigation, reviewing plans of correction and credible evidence in lieu of an onsite revisit for complaint reference 10867.

The facility, Eldercare Health and Rehabilitation, was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices corrected.

Complaint Reference: 10867. The complaint investigation concluded on 05/02/14 with the facility in substantial compliance.

An unannounced complaint survey was conducted at Eldercare Health and Rehabilitation from 04/28/14 to 05/02/14 due to Complaint #10867, which was substantiated with a related deficiency cited.

The facility failed to maintain an effective pest control program as gnats were found in four of ten resident rooms observed. Resident interviews, staff interviews, record review, and observations confirmed the presence of gnats in rooms of residents #19, #26, #30, and #58.

Complaint #10867 was substantiated with a related deficiency cited based on observations, resident interviews, family interviews, staff interviews, and review of facility documentation.

The inspection was conducted as a complaint investigation based on references 13272 / 9098 and 14010 / 9812.

The facility, Eldercare Health and Rehabilitation, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities. The review accepted plans of correction and credible evidence in lieu of an onsite revisit, concluding the complaint investigations.

Complaint investigations referenced as 13272 / 9098 and 14010 / 9812 were concluded with the facility in substantial compliance.

Onsite revisit completed on 02/13/14 for the Quality Indicator and Licensure Surveys completed on 11/13/13 to verify correction of previously cited deficient practices.

The facility was found to be in substantial compliance with all previously cited deficient practices from the prior surveys.

The inspection was conducted as a complaint investigation based on two complaint references (9098 / 13272 and 9812 / 14010). Both complaints were found to be unsubstantiated with unrelated citations.

The facility was cited for failing to maintain posted nurse staffing data in a manner that could be kept on file for 18 months as required by regulation. Staffing data was recorded on a dry erase board and erased daily, preventing retention. The facility was in the process of developing a new form to address this issue, but the form lacked the facility name.

Two complaints (9098 / 13272 and 9812 / 14010) were investigated and found to be unsubstantiated, with unrelated citations issued.

Annual Quality Indicator and Licensure Surveys conducted from 11/04/13 to 11/13/13 to assess compliance with regulatory requirements and quality indicators.

The facility was found deficient in multiple areas including failure to provide residents with information on Medicare and Medicaid benefits, inadequate housekeeping and maintenance resulting in urine odors and damaged floor tiles, inaccurate comprehensive assessments and care plans for residents, failure to protect residents from abuse by another resident, failure to report and monitor incidents of abuse, failure to provide appropriate supervision during meals for a resident with swallowing difficulties, administration of unnecessary medications, and failure to offer hospice services to an eligible resident.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

The inspection was conducted as a complaint investigation based on two complaint references: 13108/8089 and 13125/8187.

Both complaint investigations were unsubstantiated and no citations were issued.

Complaint Reference: 13108/8089 - Unsubstantiated complaint record with no citations. Complaint Reference: 13125/8187 - Unsubstantiated complaint record with no citations.

The inspection was conducted in response to two complaint references (12238 / 7386 and 12284 / 7494) regarding the facility.

Both complaints were found to be unsubstantiated with no citations issued.

Two complaints were investigated and both were unsubstantiated with no citations.

This document is a Plan of Correction submitted by Mountain View Care Center in response to deficiencies cited during a prior inspection.

The document includes a summary statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights, services, charges, and Medicaid benefits.

The inspection was a Quality Indicator Survey conducted from 2012-04-29 to 2012-05-03 to assess compliance with federal regulations related to resident care, dignity, nutrition, medication management, and safety.

The facility was found deficient in multiple areas including failure to maintain resident dignity during meal service, failure to assess and accommodate resident food preferences, failure to develop comprehensive care plans for several residents, failure to implement care plans for pressure ulcers and ADL needs, failure to prevent weight loss, failure to ensure medication regimens were free from unnecessary drugs, failure to serve food at proper temperatures, and failure to maintain sanitary food handling practices.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the Life Safety Code provisions.

The inspection was conducted as a complaint investigation based on complaint reference #12017 from 02/06/12 to 02/09/2012.

The complaint investigation was unsubstantiated and no citations were issued.

Complaint reference #12017 was investigated from 02/06/12 to 02/09/2012 and found to be unsubstantiated with no citations.

On-site revisit for complaints #11298 and #11307 to verify correction of previous deficiencies.

All associated citations related to the complaints had been corrected during the revisit from 02/06/12 to 02/09/12.

Complaints #11298 and #11307 were investigated and all associated citations were corrected.

The inspection was conducted as a complaint investigation based on substantiated complaints received regarding resident care and facility practices from 12/13/11 to 12/15/11.

The facility was found deficient in multiple areas including failure to report and investigate neglect allegations, inadequate comprehensive care plans, insufficient nursing staff to meet resident needs, inaccurate nurse staffing postings, lack of infection control measures, and failure to ensure nurse aide competency in applying heat packs.

Complaint investigations 11298 and 11307 were substantiated with deficiencies. The investigation period was from 12/13/11 to 12/15/11 at 11:30 a.m.

The inspection was conducted as a complaint investigation related to complaint reference #11055, which was substantiated with deficiencies cited.

The facility failed to notify the primary medical power of attorney (MPOA) for Resident #77 after the resident sustained a skin tear injury. Instead, the secondary MPOA was notified, despite no evidence that the primary MPOA was unable or unwilling to serve.

Complaint reference #11055 was substantiated with deficiencies cited regarding failure to notify the legal representative of Resident #77 after an injury.

The inspection was conducted in response to substantiated complaints #10342 and #10343 regarding failure to notify a resident's legal representative of a change in treatment and failure to revise the care plan accordingly.

The facility failed to notify the legal representative of Resident #111 when initiating the fine dining and walk-to-dine programs, which involved transferring the resident from a wheelchair to a regular chair without safety devices. The resident fell, sustaining significant injuries and later died. The care plan was not revised to address safety needs related to these programs, and no policies or procedures were in place to ensure resident safety during these activities.

Complaint references #10342 and #10343 were substantiated with deficiencies cited related to failure to notify family and failure to revise care plans.

Investigation of infection control and neglect complaints related to Resident #143 with Clostridium difficile infection and other residents.

The facility failed to prevent the spread of a highly contagious infection (C. difficile) by Resident #143, who was not properly isolated or cohorted, and staff did not follow infection control protocols. The facility also failed to monitor and address nutritional, hydration, medication, and care plan deficiencies for multiple residents. Infection control policies were not aligned with CDC guidelines, and staff compliance monitoring was ineffective. The facility's quality assurance committee failed to identify and correct these deficiencies.

The investigation was complaint-driven related to infection control failures and neglect allegations involving Residents #143, #61, #93, and #98. The facility failed to report neglect allegations to the State survey agency as required.

The inspection was conducted to assess compliance with NFPA Life Safety Code standards, including fire safety systems, sprinkler systems, fire extinguishers, cooking facility protections, medical gas storage, and emergency power supply maintenance.

The facility was found deficient in multiple areas including lack of instructional signage on delayed-egress exit doors, incomplete fire alarm system inspections, sprinkler system inspection lapses and obstructions, overdue hydrostatic testing of a fire extinguisher, incomplete monthly inspections of the kitchen rangehood extinguishing system, improper storage of oxygen cylinders, and lack of generator maintenance and testing documentation.

The inspection was conducted in response to complaint references #9274, #9287, and #9288.

The complaint records were found to be unsubstantiated with no deficiencies cited during the investigation.

Complaint references #9274, #9287, and #9288 were investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted as part of an annual survey to assess compliance with NFPA 101 Life Safety Code standards and other regulatory requirements for the facility.

The facility failed to maintain automatic sprinkler coverage in all areas, improperly stored oxygen cylinders near combustibles, and did not maintain emergency generator and transfer switch lighting as required by NFPA standards.

The inspection was conducted as part of the annual survey to assess compliance with federal regulations regarding resident rights, personal funds management, dignity and respect, reasonable accommodations, activities, housekeeping, care planning, medication management, nutrition, and facility environment.

The facility was found deficient in multiple areas including failure to provide proper notice of Medicare non-coverage, inadequate management of residents' personal funds, lack of dignity and respect during dining, failure to accommodate resident needs and preferences, insufficient activity programming, unsanitary conditions, incomplete care plans, inadequate pain management, improper perineal care, poor food quality and lack of substitute offerings, failure to report medication irregularities, and inadequate ventilation leading to odors in the facility.

The visit was conducted as a complaint investigation referenced as #2-8280.

The complaint was found to be unsubstantiated with no deficiencies cited during the investigation.

Complaint reference #2-8280 was unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referenced as #2-8187, which was ultimately unsubstantiated but resulted in unrelated deficiencies being cited.

The facility was cited for non-compliance with Federal Medicare/Medicaid certification requirements and State nursing home licensure rules. A key deficiency was the inaccurate coding of a resident's Minimum Data Set (MDS) assessment regarding falls, where Resident #72's MDS incorrectly stated no falls in the last 30 days despite documented falls.

Complaint reference #2-8187 was unsubstantiated, but unrelated deficiencies were cited.

The inspection was conducted as an annual survey to assess the facility's compliance with Medicare and Medicaid Requirements for Long Term Care Facilities.

The facility was found to be in substantial compliance with 42 CFR Part 483 Subpart B, with no deficiencies cited during the inspection.

The inspection was conducted to assess compliance with NFPA 10 and NFPA 99 life safety code standards related to fire extinguisher maintenance and medical gas storage in the facility.

The facility failed to maintain and test fire extinguishers according to NFPA 10 standards, with three extinguishers exceeding the six-year maintenance requirement and lacking required labels or verification collars. Additionally, the facility failed to properly store oxygen cylinders in accordance with NFPA 99, with seven small oxygen cylinders stored within six inches of combustible material and the storage closet unsecured.

The inspection was conducted as a complaint investigation referenced as #2-7226.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-7226 was unsubstantiated with no deficiencies cited.

This document is a plan of correction submitted in response to deficiencies identified during a prior inspection at Mountain View Care Center.

The document references a deficiency related to the facility's obligation to inform residents of their rights and services, including Medicaid-related information, but does not provide detailed findings within this excerpt.

The visit was a paper revisit to follow up on previous deficiencies.

The document is a statement of deficiencies and plan of correction for Mountain View Care Center, indicating a paper revisit was conducted.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically focusing on fire safety features such as self-closing doors, exit access, and door locking mechanisms in the facility.

The facility was found to have multiple life safety code deficiencies including hazardous area doors without self-closing devices, an exit door that swings inward instead of outward and is improperly equipped with a magnetic locking device not configured as a delayed-egress lock, and designated exit doors that strike door frames making them difficult to open or close.

Complaint investigation reference #2-6188 was conducted to assess allegations, resulting in an unsubstantiated complaint record with unrelated deficiencies cited.

The facility was found deficient in multiple areas including failure to submit an approved surety bond, failure to maintain a safe and odor-free environment for residents, use of equipment without physician orders, unsafe resident environment hazards, unnecessary drug use without proper documentation, poor food preparation consistency, inadequate infection control related to damaged furniture, and inaccurate clinical records.

Complaint reference #2-6188 was unsubstantiated with unrelated deficiencies cited.

The inspection was conducted as a complaint investigation based on complaint reference #2-6175.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-6175 was unsubstantiated with no deficiencies cited.

The inspection was conducted as part of the annual survey of Mountain View Care Center to assess compliance with federal regulations and standards for nursing facilities.

The facility was found deficient in multiple areas including failure to notify physicians of significant changes in resident status, inadequate personal care such as nail hygiene, failure to follow physician orders and care plans, improper monitoring of residents receiving blood transfusions and dialysis, incomplete and late resident assessments, improper infection control practices including handwashing and linen handling, failure to provide thickened liquids at correct consistencies, and unsafe physical environment conditions.

The inspection was conducted as a regulatory annual survey to assess compliance with NFPA 101 Life Safety Code standards and other federal requirements for the facility.

The facility was found to have multiple deficiencies related to fire safety, including failure to maintain self-closing devices on hazardous room doors, inadequate corridor exit width due to protruding fire extinguisher cabinets, and an inoperable locking device on the walk-in freezer door that impeded egress.

The inspection was conducted as a complaint investigation related to a substantiated complaint record with deficiencies cited regarding quality of care.

The facility failed to provide necessary care and services to prevent injury to Resident #118, who fell from her wheelchair during transport, resulting in significant injury, hospitalization, and subsequent death. The facility did not develop or implement appropriate care plan interventions despite the resident being at risk for falls.

Complaint reference #2-4228 was substantiated with deficiencies cited related to quality of care and resident rights.

The inspection was conducted as a complaint investigation in response to complaint reference #2-4155.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-4155 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted as a comprehensive annual survey to assess compliance with federal regulations governing nursing facilities, including resident care, medication management, infection control, and facility environment.

The facility was found deficient in multiple areas including inaccurate resident assessments, medication management issues such as unclear orders and excessive use of psychotropic drugs without dose reduction attempts, failure to follow bowel care protocols, inadequate infection control practices related to linen storage, insufficient ventilation in resident bathrooms, and sanitary deficiencies in dietary services. Physician documentation and pharmacy reporting also had deficiencies.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, including fire safety systems, sprinkler systems, smoke detectors, and emergency power supply.

The facility failed to maintain self-closing devices on hazardous room doors, failed to maintain and test all components of the fire alarm system and smoke detectors per NFPA 72, failed to maintain sprinkler system spacing requirements, failed to maintain the rangehood extinguishment system, failed to comply with capacity limits for soiled linen receptacles, and failed to properly exercise the emergency power supply system under load as required.

The inspection was conducted to assess compliance with regulatory requirements, including resident rights and comprehensive care planning.

The facility failed to ensure that the comprehensive care plan for Resident #115 accurately reflected the resident's care needs, specifically the use of isolation precautions due to a bacterial infection. The isolation precautions were initiated but not documented in the care plan.

The inspection was conducted as part of an annual survey to assess compliance with regulatory requirements and quality of care standards at Mountain View Care Center.

The facility failed to provide ordered restorative supervision for a resident with a history of choking during a meal, resulting in the resident being left alone while eating a mechanical soft diet and experiencing a choking episode. The facility did not ensure adequate supervision to prevent accidents as required.

Inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, specifically regarding the accessibility and safety of emergency egress routes.

The facility was found deficient in maintaining the exterior sidewalk serving emergency egress in a safe and unobstructed condition due to approximately 36 yards of ice and snow covering the sidewalk, preventing safe access to the exit discharge.

The inspection was conducted as a comprehensive annual survey of Mountain View Care Center to assess compliance with federal regulations regarding resident rights, quality of care, medication management, physical environment, and other regulatory requirements.

The facility was found deficient in multiple areas including failure to notify physician and responsible party of a resident's Stage II pressure ulcer, inaccurate resident assessments, inadequate abuse policies, failure to implement interventions to prevent falls and improve ambulation, unnecessary use of antipsychotic medications without dosage reduction attempts, medication labeling errors, and unsafe physical environment due to damaged floor tiles.

The inspection was conducted as a complaint investigation (#2-2230) on 9/24 due to an allegation, but the complainant did not provide sufficient information and the resident specified was not at this facility.

No deficiencies were cited as the complaint investigation found that the resident specified was not at the facility and insufficient information was provided by the complainant.

Complaint investigation #2-2230 was unsubstantiated as the complainant did not give sufficient information and the resident specified was not at this facility.

This document is a Plan of Correction related to deficiencies identified during a prior inspection at Mountain View Care Center.

The report identifies a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 1973.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 1973.

The inspection was conducted based on a complaint investigation regarding failure to investigate and report possible abuse of two residents with unexplained bruises.

The facility failed to investigate and report possible abuse for two residents with bruises of unknown origin. Additionally, deficiencies were found related to unnecessary drug use without proper dosage reduction, failure to act on pharmacist drug regimen irregularities, and failure to ensure proper staff treatment of residents.

The complaint investigation revealed failure to investigate and report possible abuse for residents #15 and #78 who had bruises of unknown origin. No abuse investigation or notifications were found in the complaint file. The administrator and director of nursing could not provide further documentation.

The inspection was conducted as a complaint investigation identified as #2-2023.

The report includes a statement of deficiencies related to resident rights and notification requirements, specifically citing a deficiency under tag F 156 regarding the facility's obligation to inform residents of their rights and services.

Complaint Investigation #2-2023

The inspection was conducted in response to Complaint ID: 2-1174 to investigate allegations related to menus and nutritional adequacy at the facility.

The facility failed to provide one resident (#70) with food at the proper temperature, with observed food temperatures below required standards. The Dietary Manager confirmed the food temperatures did not meet requirements. Additionally, the facility had issues with housekeeping and maintenance, including damaged carpets, missing bathroom fixtures, and unclean sinks.

Complaint ID: 2-1174. The complaint was substantiated based on observation and staff interview regarding food temperature and nutritional adequacy.

The inspection was conducted as a standard annual survey to assess the facility's compliance with regulatory requirements related to resident rights, quality of life, infection control, physical environment, administration, and other care standards.

The facility was found deficient in several areas including failure to treat residents respectfully, inadequate handwashing by staff increasing infection risk, failure to timely provide laboratory services for urinary tract infections, incomplete testing of emergency power generator, and lapses in infection control practices.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, including exit accessibility, fire drill procedures, sprinkler system coverage, commercial cooking equipment safety, and storage of nonflammable gases.

The facility was found to have several deficiencies including obstructed exit access during a fire drill, staff unfamiliarity with fire drill procedures, incomplete automatic sprinkler coverage especially on a wooden canopy, inadequate inspection of the rangehood extinguishing system, and improper storage of oxygen cylinders.

A safety and environmental inspection was conducted to assess compliance with the NFPA 101, Life Safety Code, 1973 (New).

The facility was found to be without waivers and in compliance with 483.70(a) during the inspection conducted from 02/16/00 to 02/18/00.

The inspection was conducted as part of an annual survey to assess compliance with federal regulations related to resident rights, physical environment, and emergency power systems.

The facility was found deficient in informing residents of their rights, maintaining the emergency electrical power system within regulatory standards, and providing a safe, functional, and sanitary environment. Specific issues included a malfunctioning emergency power system with delayed transfer time and damaged over bed tables preventing proper cleaning.

The inspection was conducted as part of the Eldercare of WV survey from 02/07/00 to 02/09/00 to assess compliance with regulatory requirements.

The facility failed to obtain two physician's statements of incapacity as required by WV Code 16-30A-3 prior to activating a medical power of attorney for one resident who lacked capacity to make medical decisions.